Evidence map›Paper›PMID 34273581›Full record

Observational studyThe journal of allergy and clinical immunology. In practice2021

Association of Varying Clinical Manifestations and Positive Anti-SARS-CoV-2 IgG Antibodies: A Cross-Sectional Observational Study.

Jonathan I Silverberg, Israel Zyskind, Hiam Naiditch, Jason Zimmerman, Aaron E Glatt, Abraham Pinter, Elitza S Theel, Michael J Joyner, D Ashley Hill, Miriam R Lieberman and 4 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in The journal of allergy and clinical immunology. In practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 11 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 13 institutions in 1 country.

Jonathan I SilverbergDepartment of Dermatology, George Washington University, Washington, DC. Electronic address: Jonathanisilverberg@gmail.com.
Israel ZyskindDepartment of Pediatrics, NYU Langone Medical Center, New York, NY; Maimonides Medical Center, Brooklyn, NY.
Hiam NaiditchDepartment of Medicine, Yale University School of Medicine, New Haven, Conn.
Jason ZimmermanMaimonides Medical Center, Brooklyn, NY.
Aaron E GlattDepartment of Medicine, Mount Sinai South Nassau and the Icahn School of Medicine at Mount Sinai, New York, NY.
Abraham PinterPublic Health Research Institute, New Jersey Medical School, Rutgers, The State University of New Jersey, Newark, NJ.
Elitza S TheelDivision of Clinical Microbiology, Department of Laboratory Medicine and Pathology, Mayo Clinic Rochester, Rochester, Minn.
Michael J JoynerDepartment of Anesthesiology & Perioperative Medicine, Mayo Clinic, Rochester, Minn.
D Ashley HillResourcePath, Sterling, Va.
Miriam R LiebermanDepartment of Dermatology, State University of New York Downstate Medical Center, New York, NY.
Elliot BigajerDivision of Gastroenterology, Department of Medicine, Brookdale University Hospital and Medical Center, Brooklyn, NY.
Daniel StokMemorial Sloan Kettering Cancer Center, New York, NY.
Elliot FrankDivision of Infectious Diseases, Department of Medicine, Jersey Shore University Medical Center, Neptune, NJ; Hackensack Meridian School of Medicine, Clifton, NJ.
Avi Z RosenbergDepartment of Pathology, Johns Hopkins University, Baltimore, Md. Electronic address: Arosen34@jhmi.edu.
Brookdale University Hospital and Medical Center · USGeorge Washington University · USHackensack Meridian Health · USIcahn School of Medicine at Mount Sinai · USJohns Hopkins University · USMaimonides Medical Center · USMayo Clinic · USMayo Clinic in Arizona · USMemorial Sloan Kettering Cancer Center · USNYU Langone Health · USRutgers, The State University of New Jersey · USState University of New York · USYale University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Variant Hemoglobin and Cardiorespiratory Regulation in HumansR35HL139854 · NHLBI · MAYO CLINIC ROCHESTER · PI JOYNER, MICHAEL J · 2018 to 2024
$5.8M
NCI NIH HHS P30 CA008748NHLBI NIH HHS R35 HL139854
6 · The paper itself

Abstract

backgroundThe complex relationship between clinical manifestations of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and individual immune responses is not fully elucidated.

objectiveTo examine phenotypes of symptomatology and their relationship with positive anti-SARS-CoV-2 IgG antibody responses.

methodsAn observational study was performed of adults (≥18 years) from 5 US states. Participants completed an electronic survey and underwent testing to anti-SARS-CoV-2 nucleocapsid protein IgG antibody between May and July 2020. Latent class analysis was used to identify characteristic symptom clusters.

resultsOverall, 9507 adults (mean age, 39.6 ± 15.0 years) completed the survey; 6665 (70.1%) underwent antibody testing for anti-SARS-CoV-2 IgG. Positive SARS-CoV-2 antibodies were associated with self-reported positive SARS-CoV-2 nasal swab result (bivariable logistic regression; odds ratio [95% CI], 5.98 [4.83-7.41]), household with 6 or more members (1.27 [1.14-1.41]) and sick contact (3.65 [3.19-4.17]), and older age (50-69 years: 1.55 [1.37-1.76]; ≥70 years: 1.52 [1.16-1.99]), but inversely associated with female sex (0.61 [0.55-0.68]). Latent class analysis revealed 8 latent classes of symptoms. Latent classes 1 (all symptoms) and 4 (fever, cough, muscle ache, anosmia, dysgeusia, and headache) were associated with the highest proportion (62.0% and 57.4%) of positive antibodies, whereas classes 6 (fever, cough, muscle ache, headache) and 8 (anosmia, dysgeusia) had intermediate proportions (48.2% and 40.5%), and classes 3 (headache, diarrhea, stomach pain) and 7 (no symptoms) had the lowest proportion (7.8% and 8.5%) of positive antibodies.

conclusionsSARS-CoV-2 infections manifest with substantial diversity of symptoms, which are associated with variable anti-SARS-CoV-2 IgG antibody responses. Prolonged fever, anosmia, and receiving supplemental oxygen therapy had strongest associations with positive SARS-CoV-2 IgG.

Indexed as

COVID-19AdultAgedAntibodies, ViralCross-Sectional StudiesFemaleHumansImmunoglobulin GMiddle AgedSARS-CoV-2Antibodies, ViralImmunoglobulin GConvalescentCOVIDInfectionPhenotypeSeroprevalenceSymptoms

Identifiers

PMID34273581
PMCPMC8279919
OpenAlexW3181826393

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.